Individual
JACOB MATTHEW LENZMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(763) 639-6133
Mailing address
3034 FLORIDA AVE N, CRYSTAL, MN 55427-3024
(763) 639-6133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123356
MN
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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